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Table 3 Top 5 failure mode, occurrence (O), detectability (D) and risk priority number (RPN), subscripts 1 and 2 indicate the first time and second time scores respectively

From: Evaluation and improvement the safety of total marrow irradiation with helical tomotherapy using repeat failure mode and effects analysis

NO.

Sub_process

FM

O1/O2

D1/D2

S1/S2

RPN1/RPN2

1

Treatment delivery

Treatment couch movement failure

5.2/4.8

6.5/3.2

8/8

264.3/102.8

2

Treatment delivery

Section plan dose junction error in delivery

4.8/4.5

5.6/3.1

9/9

236.7/110.4

3

Treatment delivery

Setup check by MVCT failure

6.5/3.3

4.5/3.5

7/7

216.8/94.6

4

Immobilization

Patient immobilization error

7.5/3.2

3.6/3.6

8/8

212.5/90.2

5

Treatment delivery

Treatment interruption

8.5/5.5

3.2/3.2

7/7

204.8/134.2